49D2004819 CLIA NUMBER - WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 49D2004819
  • Facility Name: WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER
  • Facility Address: 808 EDEN WAY NORTH, SUITE 102
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 366-0295
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BRENDA WALLER
  • NPI Number: 1386973253
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D2004819
LAB Type Physician Office
Facility Name WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER
Street 808 EDEN WAY NORTH, SUITE 102
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 366-0295
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director BRENDA WALLER

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This page was last updated on: 3/20/2025